Type 2 Diabetes Adult Outpatient Insulin Guidelines - CMA Foundation

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Principles of Lifestyle Modification • Encourage healthy lifestyles for all individuals. • Prescribe lifestyle modifications for all patients with prehypertension and hypertension. • Components of lifestyle modifications include weight reduction, DASH eating plan, dietary sodium reduction, aerobic physical activity, and moderation of alcohol consumption. Blood Pressure Measurement Techniques Method Notes Two readings, 5 minutes apart, sitting in chair. Confirm elevated reading in contralateral arm. In-office Indicated for evaluation of “white coat hypertension.” Absence of 10–20 percent BP decrease during sleep may indicate increased CVD risk. Ambulatory BP monitoring Lifestyle Modification Recommendations Modification Recommendation Avg. SBP Reduction Range † Provides information on response to therapy. May help improve adherence to therapy and is useful for evaluating “white coat hypertension.” Patient self-check 5–20 mmHg/10 kg Maintain normal body weight (body mass index 18.5–24.9 kg/m2 ). Weight reduction 8–14 mmHg Adopt a diet rich in fruits, vegetables, and lowfat dairy products with reduced content of saturated and total fat. DASH eating plan 2–8 mmHg Reduce dietary sodium intake to
Clinical Management of Dyslipidemia 9,31,32,33 Addressing dyslipidemia is a key component in preventing long term cardiovascular disease in individuals with type 2 diabetes. Many patients with diabetes have elevated cholesterol values, which can lead to greater risk of developing cardiovascular disease or acute cardiovascular events. Diabetic dyslipidemia is a recognizable and modifiable patient risk factor that should be identified and treated early to prevent complications. Published by the National Heart Lung and Blood Institute (NHLBI), the ATP III guidelines are an evidence-based set of recommendations that focus on intensive cholesterol-lowering therapy. The guidelines address the primary prevention of coronary heart disease (CHD) in persons with multiple risk factors by managing elevated patient cholesterol levels to reach goal. The ATP III Guidelines At-a-Glance Quick Desk Reference which outlines the step by step sequence of cholesterol management has been provided. The NHLBI and the American Diabetes Association recommend prescribing lifestyle modifications and cholesterol lowering medications to reach the following target (optimal) adult cholesterol levels: Targeting Adult Cholesterol Levels Table TABLe 23: Classification 23 Classification of Lipid of Lipid Profile Risk LDL Cholesterol – Primary Target of Therapy (mg/dL)
Page 1 and 2: 3 Comprehensive Management of Type
Page 3 and 4: TAbLe 13 Diabetes Care Guidelines/F
Page 5 and 6: TAbLe 15 Recommended blood Glucose
Page 7 and 8: Proper Disposal of Syringes and Nee
Page 9 and 10: TAbLe 17 Oral Medications Drug clas
Page 11 and 12: TABLe 18 Non-Insulin Injectables Dr
Page 13 and 14: Diabetes Coalition of California Ty
Page 15 and 16: CMA FoundAtion . diAbetes And CArdi
Page 17 and 18: TABLe 20 Insulin Injectables Drug c
Page 19 and 20: separate prescriptions or in fixed-
Page 21 and 22: TABLe 22 Oral Blood Pressure Loweri
Page 23 and 24: TABLe 22 Oral Blood Pressure Loweri
Page 25: Reference Card From the Seventh Rep
Page 29 and 30: Pharmacotherapy for Dyslipidemia 23
Page 31 and 32: TABLe 24 Lipid combinations Fibric
Page 33 and 34: 4 Step 4 5 Step 5 6 Step 6 If 2+ ri
Page 35 and 36: 8 Step 8 Identify metabolic syndrom
Page 37 and 38: Hard Coronary Heart Disease (10-Yea
Page 39 and 40: Weight Loss/Maintenance Even a mode

Type 2 Diabetes Adult Outpatient Insulin Guidelines - CMA Foundation

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